This is an update to our blog, "Four Common Winter Ailments and Their ICD-10 Codes". Along with the joyful holidays, come seasonal flu, colds and other ailments. Winter is quite an exciting time for get-togethers, Thanksgiving, holiday parties and family dinners....
The AMA Current Procedural Terminology (CPT) lists a term ‘Separate Procedure’ under surgery guidelines. The term refers to the procedures and services performed as integral components of a total...
The Healthcare Effectiveness Data and Information Set (HEDIS) is set of norms employed by most of the healthcare plans in the US for measuring performance in relation to service and care. HEDIS was...
The main objective of observation is to allow the physician to decide whether to admit the patient in the hospital or send the patient home. Even if the patient is made to lie in an inpatient bed,...
There is an increasing focus on the quality of care, whether its prevention, early diagnosis of illness, or therapeutic services. HEDIS ((Healthcare Effectiveness Data and Information Set), created...
There are a lot of myths and misconceptions among healthcare service providers about the functioning of the RAC (Recovery Audit Contractors). The RAC system was created to help CMS (Centers for...
There are many changes happening in the field of healthcare and one of the most significant is ICD-10-CM implementation. ICD-10-CM, the 10th revision for the International Classification of Diseases...
HEDIS (Healthcare Effectiveness Data and Information Set) is an important tool that is developed by the National Committee for Quality Assurance (NCQA) for assessing healthcare provided to...
Medical coding experts have a key role to play in the medical billing process. Whenever a patient is provided health care in an ambulatory surgical center, outpatient facility, or physician’s...